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Plan: V. Aing-Drug
<br />Program, 4,
<br />PHMSA Inspection Protocol
<br />for Specimen Collection
<br />Sites, Specimen
<br />Collections.
<br />0.03.c Are precautions taken to ensure that unadulterated specimens are obtained and correctly identified that meet the following
<br />requirements: Bluing agents In toilet lank and all water sources secure. §40.43(b)(1) and (2), Individual positively identified (photo ID,
<br />etc.). §40.61(c), Proper authority contacted If Individual falls to arrive at the assigned time, §40.61(a), The donor shall remove any
<br />unnecessary outer garments. Purses or briefcases shall remain with outer garments. §40.61g), Donor shall wash and dry his/her
<br />hands. §40.63(b), To (he greatest extent possible, the collector must keep an employee's collection container within view of both
<br />himself/herself and the employee between the time the employee has urinated and the specimen Is sealed. §40.43(d)(2), Any unusual
<br />behavior noted on the CCF. §40.63(e)
<br />Plan; V. Anti -Drug Program, 4. PHMSA Inspection Protocol for Specimen Collection Sites, Specimens Collections
<br />_ ._ r,..._ , ,. _,,.., _
<br />0.03d Are procedures being followed at the collection site after the specimen has been provided in compliance with the requirements
<br />of §40.65?
<br />Plan: V Antl-Drug Program, 4. PHMSA Inspection Protocol For Specimen Collection Sites, Specimen Collections.
<br />0.03.e. Have provisions been made if the donor is unable to provide at least 45 milliliters of urine? §40 05(a)
<br />Plan: V. Anti -Drug Program, 4. PHMSA Inspection Protocol for Specimen Collection Sites, Specimen Collections.
<br />0.03.i Are procedures In place for immediately collecting urine specimens under direct observation for the situations identified in
<br />§40.67(e)? 1. As of August 31, 2009, verify that all collections for reftirn-to-duly and follow-up testing were performed under DER
<br />directed direct observation §40.67(b)
<br />Plan: V Antl-Drug
<br />Program, 4.
<br />PHMSA Inspection
<br />Protocol for Specimen Collection
<br />Sties,
<br />Specimen Collections.
<br />0.03.g Are same gender collection personnel used if a collection is monitored under direct observation by non -medical personne .
<br />§40.69(b)
<br />Plan: V. Anti•Drug Prograrn, 4, PHMSA Inspection Protocol for Specimen Collection Sites, Specimen Collections.
<br />0.03.h is the CCF properly executed by authorized collection site personnel upon receipt and transfer of a urine specimen? §40.73(a)
<br />Plan: V Antl-Drug Program, 4. PHMSA Inspection Protocol for Specimen Collection Sites, Specimen Collections.
<br />)
<br />mprehensive Audit and Inspection Protocol Form, Alcohol Testing Sites, Form No.: 3.1i81`
<br />Protocol Area P Alcohol Testino Sites —Audit Informallon
<br />P 01 Alcohol Testing Personnel
<br />Verify that training and usage of personnel Is in compliance with the applicable requirements of Part 40.
<br />P.O1.a. Does the operator's plan specify training for BATS and STTs that is in compliance with §40.213 and does the documentation
<br />cedify that all requirements are met? §40.213(g)
<br />Plan: VI, Alcohol Misuse Prevention Program, 3, PHMSA Inspection Protocol for Alcohol Testing Sites, Alcohol Testing
<br />Personnel.
<br />P.01.b Does the plan specify that a supervisor shall not serve as the BAT or STT if that supervisor makes the reasonable cause
<br />tleterminafion7 §40.211(c) §199.225(b)(2)
<br />Plant: VI, Alcohol Misuse Prevention Program, 3, PHMSA Inspection Protocol for Alcohol Testing Sites, Alcohol Testing
<br />Personnel.
<br />,02 Alco of Testing Sites Forms and Supplies
<br />Verity that alcohol testing sites, forms and supplies are In compliance with the applicable physical and security requirements of Part
<br />40.
<br />P,02.a. Does the alcohol testing site comply with the applicable physical and security requirements of §40,221 and §40.223?
<br />Plant: Vl. Alcohol Misuse Prevention Program, 3. PHMSA Inspection Protocol for Alcohol Testing Sites, Alcohol Testing
<br />Sites, Forms and Supplies.
<br />P.02.b. Does the plan specify that only EBTs and ASDs listed on the NHTSA CPL will be used for DOT alcohol testing §40.229? Also,
<br />does the plan specify that an EST must be used for conducting the confirmation tests §40,231(a)?
<br />Plan: Vt. Alcohol Misuse Prevention Program, 3, PHMSA Inspection Protocol for Alcohol Testing Sites, Alcohol Testing
<br />Sites, Forms and Supplies.
<br />P.02.c Does the operator follow the Quality Assurance Plan (QAP) for the EST that Is used §40 233(c)(1)? If this service is contracted
<br />out does the operator ensure that the QAP is being followed §40.233(c)?
<br />Premium Concrete Services, Inc.- PHMSA DRUG/ALCOHOL PLAN
<br />ir) NATIONAL COMPLIANCE hIANAGEMENT SERVICE. INC. RIGNIS) 2011 pledsle 2021). The NCMe plan is
<br />the subject of 0 registered copyright and is reelected by copyrighl lav,s in the ll_S. and olsowitore All Aphis
<br />reserved. 61
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